Frehiwot Berhanu
Individual provider Active NPI Licensed Practical Nurse · Ridgefield, NJ
NPI 1104201821 · NPPES record last updated Jul 23, 2015
Key facts
- NPI
- 1104201821
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 269332 (NY)
- Practice address
- 781 Ravenhill PL
Ridgefield, NJ 07657-1309 - Phone
- (914) 564-0359
- NPI assigned
- Jul 23, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269332 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 269332 | NY | Yes |
Addresses
Primary practice location
781 Ravenhill PL
Ridgefield, NJ 07657-1309
Mailing address
781 Ravenhill PL
Ridgefield, NJ 07657-1309
Other providers in Ridgefield, NJ
- Lauren Barroso
- Charles Robert Becker
- Nicholas Berardo
- Bergen Arts Dental, PC
- Bergen Health and Wellness,LLC
- Bethesda Acupuncture Clinic
- Borough of Ridgefield
- Borough of Ridgefield
- Broad Ave Chiropractic LLC
- Dane Eric Burch
All providers in Ridgefield, NJ · Licensed Practical Nurse in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.